Organizational & Programmatic iRCA™

Why is this course unique?

Organizational and programmatic failures are the most common causes of human errors in the workplace. O&P failures are costly to an organization in many ways. This training course addresses the mitigation of error traps that O&P root cause investigators face. This knowledge-based training provides the data and methods for investigators to avoid certain error traps. Many root cause analyses only identify contributing factors but fail to identify true root causes, because they neglect a critical aspect of the failure: the psychological factors. An accurate RCA must consider and account for both individual and group psychological components of a failure event. No other training course on the market teaches how to factor in this vital component. The techniques supplied in PII’s Psychologically-Based O&P Root Cause Investigation course extend beyond mere categorization of O&P events, teaching real-world skills that help solve O&P problems.

• It is the only RCA technology that is able to find the root causes of injuries, operational events, project management problems, engineering problems, and executive management problems.
• It is the only RCA technology built on 525-man-years of in-depth research and real-world experience. It is the only RCA technology with a 100%-success track record.
• Its logic and thought process is traceable. As such, the RCA report is instantly available after the analysis.

Benefits of this course:

This course gives attendees the skills needed to become effective O&P problem-solvers, who are able to understand the psychological factors, and their symptoms, that contribute to triggering events and LOP failures. The techniques have been proven effective to solve O&P failures, once and for all, in a cost-effective manner.

Topics covered in this course:

• Why we error
• No Mental States, No Causes of Errors
• No LOP Failures, No Events
• Why event occurs
• Factors Affecting Errors
• Factors Affecting Events
• 23 Questions to Find Causes of Errors
• 12 Questions to Find Causes of LOP Failures
• HiRCA Structure
• Case Studies
• Definition of O&P problem and scope
• Understand how organization and program failed – PII’s Organization & Programmatic Failure Mode Chart:
• Failure modes within an organization
• Failure modes in a program
• Failure modes between interfacing programs
• Failure modes between organization and interfacing program
• Failure modes between interfacing organizations
• O&PiRCA Structure
• Case Studies
• Exercises